經(jīng)皮椎體成形術(shù)治療老年胸腰椎骨折患者的效果

Effect of Percutaneous Vertebroplasty in the Treatment of Elderly Patients with Thoracolumbar Fracture/XIE Haozhen， XU Yang， YANG Chenggang. //Medical Innovation of China， 2025， 22（10）： 058- 061

[Abstract]Objective： To explore the clinical effect percutaneous vertebroplasty in the treatment of elderly patients with thoracolumbar fracture.Method： A totalof 106 elderly patients withthoracolumbar fracture admitted to from January 2022 to December 2023 were selected and divided into control group （ n =53）and study group （ n =53）by random number table method. The control group was treated with open reduction and internal fixation， and the study group was treated with percutaneous vertebroplasty. The anterior vertebral body height compression rate and kyphotic Cobb angle of the injured vertebra， and the Oswestry disability index （ODl） were compared between the two groups. Surgery time， intraoperative blood loss， intraoperativefluoroscopy times and recovery （pain relief time，hospital stay and fracturehealing time） were compared between thetwo groups. Result： The operation time of the study group was shorter than that of the control group，the intraoperative blood loss was less than that of the control group，and the intraoperative fluoroscopy times was more than that of the control group，the differences were statistically significant （ P <0.05）. The anterior vertebral body height compression rate and kyphotic Cobb angle of the injured vertebra in both groups 1 month， 3，and 6 months after surgery were improved compared with those before surgery，the diffrences were statistically significant （ P <0.05）. ODI of the study group 3 and 6 months after surgery were lower than those of the control group， the differences were statistically significant （ P <0.05）. The pain relief time of the study group was earlierthan that of the control group，hospital stay and fracture healing time were shorter than those of the control group， the differences were statistically significant （P<0.05） . Conclusion： Percutaneous vertebroplasty can effectively promote functional recovery of elderly patients with thoracolumbar fracture，and accelerate pain relief and fracture healing.

胸腰椎骨折在老年人群中有較高的發(fā)生率，對(duì)患者生活質(zhì)量產(chǎn)生顯著影響，已成為公共衛(wèi)生領(lǐng)域中的一個(gè)重要問(wèn)題。（剩余5111字）